Individual
MICHELLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1505 COUNTY ROAD 220, FLEMING ISLAND, FL 32003-7926
(904) 215-4945
(904) 264-2871
Mailing address
1505 COUNTY ROAD 220, FLEMING ISLAND, FL 32003-7926
(904) 215-4945
(904) 264-2871
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5615
FL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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